Matthew Gregory Baluzy, D.O.
Emergency Medicine in Maywood, IL. Individual provider (NPI-1).
NPI number1588019293
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1588019293
- Entity type
- Individual (NPI-1)
- Name
- Matthew Gregory Baluzy
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2016
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036152143 | IL | Yes |
| 207P00000X | Emergency Medicine | 20A14956 | CA |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
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